摘要
目的了解我国城市社区糖尿病患者治疗和控制现状。方法对在4个城市社区居住并确诊1a以上的糖尿病患者进行问卷调查和体检。结果共调查1047名糖尿病患者,其中50.9%的糖尿病患者伴有高血压,32.7%的患者伴有高血脂。被调查者中,70.8%的患者单纯口服降糖药,9.8%的患者不采用任何药物治疗,10.2%的患者单纯使用胰岛素,6.3%的患者既口服降糖药,又使用胰岛素,糖尿病患者注射胰岛素的比例仅有16.5%。各项治疗措施实施的比例分别为:药物治疗81.2%,饮食控制69.4%,运动80.6%,糖尿病教育咨询69.8%,血糖监测66.9%。规范化实施5项综合治疗措施的比例为34.9%。空腹血糖、血压达不到控制标准的患者分别占63.0%和50.0%。结论当前我国城市社区糖尿病患者糖尿病治疗不规范、患者规范化治疗比例低,血糖、血压控制效果欠佳。
Objective To study the treatment and control status of patients with diabetes in urban communities in our country. Method structured questionnaire survey with physical examination were conducted by well-trained investigator, the participants were patient with diabetes diagnosed at least one year ago in four communities from four cities of China. Result 1047 adults with diabetes were investigated, predominantly type 2 diabetes. 50.9% of participants had hypertension, 32.7% of participants had hyperlipidemia. 70.8% of patients were treated with oral medication alone, 10.2% with insulin alone, 6.3% with oral medication plus insulin, and 9.8% without any medication. So, total about 16.5% of patients were treated with insulin. The well-performed proportion of medication, diet, physical activity, self-management education and blood sugar monitoring were 81.2%, 69.4%, 80.6%, 69.8% and 66.9%, respectively. Participants who well-practised all the five treatment strategies accounted for 34.9% of all participants. Out of all participants, 63% participants had poor FBG control and 50% had poor BP control Conclusion Most patients with diabetes in urban community receive nonstandard treatment and most of them had poor FBG control and BP control.
出处
《中国慢性病预防与控制》
CAS
2008年第4期340-342,346,共4页
Chinese Journal of Prevention and Control of Chronic Diseases
关键词
糖尿病
城市
社区
治疗
健康状况
Diabetes mellitus
Urban
Community-based
Treatment
Health status
